David Gluck, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

15963 Issued in NY

Practice address

96 5TH Ave
1K
New York, NY 10011-7605

Phone

(212) 924-2094

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239840000000",
    "number": "1568486892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 5TH AVE",
            "address_2": "1K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117605",
            "telephone_number": "212-924-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 5TH AVE",
            "address_2": "1K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117605",
            "telephone_number": "212-924-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUCK",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2009-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "15963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02560305",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gluck Psychology
• Allison Gluck, CCC-SLP
• Ariana Gluck
• Ariana Gluck
• David Gluck, MD
• David Alan Gluck, M.D.
• Elizabeth Gluck, OTR/L
• Madison Paige Gluck
• Melissa Sarah Gluck, PHD
• Robert William Gluck, MD

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.